Minosegbiztositas diabetes mellitusban: Standardizalas mint lehetoseg a Diabcare Hungary eredmenyeinek osszehasonlitasara

Translated title of the contribution: Standardizing the results of Diabcare Hungary: A method for comparison and quality improvement introduction

Research output: Contribution to journalArticle

Abstract

INTRODUCTION - DiabCare, the monitoring system of the WHO/IDF-Euro was developed for continuous quality improvement of diabetes care based on a structured and standardized diabetes dataset. PATIENTS AND METHODS - Data from 5 DiabCare Hungary centers with different patient populations were adjusted for demographic parameters and compared to the 2403 records of the national dataset collected between 1995-97. RESULTS - More than half of the investigated patients were >56 years old (centers analyzed in detail: 20- 83%), one third of them had an age 36-55 years (17-52%), 45% were male (27- 63%). The prevalence of type 1 DM was 29% (0-80%). Almost one third of the patients had a diabetes duration >15 years (14-58%). Eyes were examined in 79% (28-98%), retinopathy was found in 29% (28-81%, minimal change after standardization). Risk factor identification was above 80% in all centers (except in center 3: 16-94%). Rate of patients with risk factors: HbA1c >8%: 43%; triglycerides >2mmol/l: 33% (in center 5 lower, 17%; after standardization 37%); blood pressure (>160/95 Hgmm), smoking and alcohol consumption together 15%. Albuminuria was examined in 55% (25-89%), with microalbuminuria present in 24% (0-38%). The frequency of self-monitoring and of severe hypoglycemia (49 and 5%) paralleled the relative weight of type1 DM patients during standardization. CONCLUSION - It is concluded that centralized evaluation and anonymous comparison of crude and adjusted data might be helpful in assessing and improving the quality of diabetes care.

Original languageHungarian
Pages (from-to)130-139
Number of pages10
JournalLege Artis Medicinae
Volume10
Issue number2
Publication statusPublished - 2000

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Hungary
Quality Improvement
Albuminuria
Quality of Health Care
Hypoglycemia
Alcohol Drinking
Triglycerides
Smoking
Demography
Blood Pressure
Weights and Measures
Population
Datasets

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Minosegbiztositas diabetes mellitusban: Standardizalas mint lehetoseg a Diabcare Hungary eredmenyeinek osszehasonlitasara",
abstract = "INTRODUCTION - DiabCare, the monitoring system of the WHO/IDF-Euro was developed for continuous quality improvement of diabetes care based on a structured and standardized diabetes dataset. PATIENTS AND METHODS - Data from 5 DiabCare Hungary centers with different patient populations were adjusted for demographic parameters and compared to the 2403 records of the national dataset collected between 1995-97. RESULTS - More than half of the investigated patients were >56 years old (centers analyzed in detail: 20- 83{\%}), one third of them had an age 36-55 years (17-52{\%}), 45{\%} were male (27- 63{\%}). The prevalence of type 1 DM was 29{\%} (0-80{\%}). Almost one third of the patients had a diabetes duration >15 years (14-58{\%}). Eyes were examined in 79{\%} (28-98{\%}), retinopathy was found in 29{\%} (28-81{\%}, minimal change after standardization). Risk factor identification was above 80{\%} in all centers (except in center 3: 16-94{\%}). Rate of patients with risk factors: HbA1c >8{\%}: 43{\%}; triglycerides >2mmol/l: 33{\%} (in center 5 lower, 17{\%}; after standardization 37{\%}); blood pressure (>160/95 Hgmm), smoking and alcohol consumption together 15{\%}. Albuminuria was examined in 55{\%} (25-89{\%}), with microalbuminuria present in 24{\%} (0-38{\%}). The frequency of self-monitoring and of severe hypoglycemia (49 and 5{\%}) paralleled the relative weight of type1 DM patients during standardization. CONCLUSION - It is concluded that centralized evaluation and anonymous comparison of crude and adjusted data might be helpful in assessing and improving the quality of diabetes care.",
keywords = "Quality of health care, Type 1 diabetes mellitus, Type 2 diabetes mellitus",
author = "A. Tab{\'a}k and G. Tam{\'a}s and Z. Ker{\'e}nyi",
year = "2000",
language = "Hungarian",
volume = "10",
pages = "130--139",
journal = "Lege Artis Medicinae",
issn = "0866-4811",
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T1 - Minosegbiztositas diabetes mellitusban

T2 - Standardizalas mint lehetoseg a Diabcare Hungary eredmenyeinek osszehasonlitasara

AU - Tabák, A.

AU - Tamás, G.

AU - Kerényi, Z.

PY - 2000

Y1 - 2000

N2 - INTRODUCTION - DiabCare, the monitoring system of the WHO/IDF-Euro was developed for continuous quality improvement of diabetes care based on a structured and standardized diabetes dataset. PATIENTS AND METHODS - Data from 5 DiabCare Hungary centers with different patient populations were adjusted for demographic parameters and compared to the 2403 records of the national dataset collected between 1995-97. RESULTS - More than half of the investigated patients were >56 years old (centers analyzed in detail: 20- 83%), one third of them had an age 36-55 years (17-52%), 45% were male (27- 63%). The prevalence of type 1 DM was 29% (0-80%). Almost one third of the patients had a diabetes duration >15 years (14-58%). Eyes were examined in 79% (28-98%), retinopathy was found in 29% (28-81%, minimal change after standardization). Risk factor identification was above 80% in all centers (except in center 3: 16-94%). Rate of patients with risk factors: HbA1c >8%: 43%; triglycerides >2mmol/l: 33% (in center 5 lower, 17%; after standardization 37%); blood pressure (>160/95 Hgmm), smoking and alcohol consumption together 15%. Albuminuria was examined in 55% (25-89%), with microalbuminuria present in 24% (0-38%). The frequency of self-monitoring and of severe hypoglycemia (49 and 5%) paralleled the relative weight of type1 DM patients during standardization. CONCLUSION - It is concluded that centralized evaluation and anonymous comparison of crude and adjusted data might be helpful in assessing and improving the quality of diabetes care.

AB - INTRODUCTION - DiabCare, the monitoring system of the WHO/IDF-Euro was developed for continuous quality improvement of diabetes care based on a structured and standardized diabetes dataset. PATIENTS AND METHODS - Data from 5 DiabCare Hungary centers with different patient populations were adjusted for demographic parameters and compared to the 2403 records of the national dataset collected between 1995-97. RESULTS - More than half of the investigated patients were >56 years old (centers analyzed in detail: 20- 83%), one third of them had an age 36-55 years (17-52%), 45% were male (27- 63%). The prevalence of type 1 DM was 29% (0-80%). Almost one third of the patients had a diabetes duration >15 years (14-58%). Eyes were examined in 79% (28-98%), retinopathy was found in 29% (28-81%, minimal change after standardization). Risk factor identification was above 80% in all centers (except in center 3: 16-94%). Rate of patients with risk factors: HbA1c >8%: 43%; triglycerides >2mmol/l: 33% (in center 5 lower, 17%; after standardization 37%); blood pressure (>160/95 Hgmm), smoking and alcohol consumption together 15%. Albuminuria was examined in 55% (25-89%), with microalbuminuria present in 24% (0-38%). The frequency of self-monitoring and of severe hypoglycemia (49 and 5%) paralleled the relative weight of type1 DM patients during standardization. CONCLUSION - It is concluded that centralized evaluation and anonymous comparison of crude and adjusted data might be helpful in assessing and improving the quality of diabetes care.

KW - Quality of health care

KW - Type 1 diabetes mellitus

KW - Type 2 diabetes mellitus

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